Artificial Intelligence’s Use Cases in Denial Prevention and Management

Learning Objectives

• Discuss the current denials landscape and the most common reasons for denials

• Examine real life use cases of AI in denials prevention and management

• Identify the key stakeholders for implementing a successful denials program

Overview

This session will discuss the use of artificial intelligence (AI) in both denials’ prevention and management. We will explore the use of analytics in identifying denials predictions and patterns, machine learning (ML) for bulk appeal and denial alerts, and large language models (LLMs) for monitoring payer policy updates.